Systems and methods for accounting for changes in surface topology when scanning a patient&#39;s teeth

ABSTRACT

Systems and methods are provided for preparation of orthodontics and prosthodontics. A method may include scanning a patient&#39;s teeth to form first 3D data of the patient&#39;s teeth including a removable element that obscures part of the dental surfaces of the patient&#39;s teeth and non-obscured tooth surfaces, removing the removable element form the patient&#39;s teeth so that the removable element no longer obscures the part of the dental surfaces of the patient&#39;s teeth, and scanning the previously obscured part of the dental surfaces of the patent&#39;s teeth and the non-obscured tooth surfaces.

CROSS REFERENCE

This application is continuation of U.S. patent application Ser. No.16/586,528, filed Sep. 27, 2019, now U.S. Pat. No. 10,791,936, issuedOct. 6, 2020, which is a continuation of U.S. patent application Ser.No. 15/050,673, now U.S. Pat. No. 10,791,934, issued Oct. 6, 2020, filedFeb. 23, 2016, which is a continuation of U.S. patent application Ser.No. 13/574,723, filed Jan. 4, 2013, now U.S. Pat. No. 9,299,192, issuedMar. 29, 2016, which is a U.S. National Phase Application under 35U.S.C. § 371 of International Application No. PCT/IL11/00574, filed Jul.19, 2011, which claims priority to U.S. Provisional Patent ApplicationNo. 61/365,556, filed Jul. 19, 2010, the entire contents of which areincorporated herein by reference.

FIELD OF THE INVENTION

This invention relates to methods and systems that are useful indentistry and other fields and that are particularly useful inprosthodontics and/or orthodontics.

BACKGROUND OF THE INVENTION

There are many procedures associated with the intra oral cavity in whicha precise three-dimensional virtual representation of the intra oralcavity can be useful to the dental practitioner.

Such virtual representations (also referred to interchangeably herein as“virtual models”, “computer models”, “3D numerical entities”, and so on)enable the practitioner to study the intra oral cavity of individualpatients via a computer system, in a similar manner to the study of thetraditional physical plaster model. Furthermore, three-dimensionalnumerical entities of the intra oral cavity also allow the practitionerto study methods or approaches when dealing with particular dentalproblems of any given patient, and for the design of physical entities,for example prostheses, dental brackets, aligners and so on, in relationtherewith. For example, in prosthodontics, a computer model of apatient's teeth may be manipulated to provide machining data tomanufacture a physical model of the intra oral cavity, and/or to designand manufacture a coping and/or a prosthesis, while in orthodontics acomputer model of a patient's teeth may be manipulated to enable adental appliance, including for example orthodontic brackets and/oraligners, to be designed and manufactured, and/or for designing atreatment.

A parameter used in the design and manufacture of a dental prosthesis,such as a crown or bridge, is the finish line, or transition boundarybetween the prosthesis and the dental preparation, and this needs to beprecisely defined in three-dimensions. Obtaining finish line coordinatesfrom a computer virtual model is more efficient and often more accuratethan from a plaster cast, and moreover facilitates the production ofsuch a prosthesis, for example via CNC machining, rapid prototyping, orother computerized technologies, if desired.

However, it is often the case that when scanning the intra oral cavityto obtain 3D data of the preparation and finish line, on which thevirtual model is based, part of the finish line, and possibly also theshoulder and other parts of the preparation, may be obscured by softtissues such as the gum that, no longer being supported by the dentalsurfaces that have been removed, deform to cover at least a part of thefinish line on the prepared dental site.

Additionally or alternatively, part or all of the finish line may beobscured by other agents or materials, including, for example,accumulation of one or more of saliva, blood, lubricant used with adental drill, debris resulting from working the dental site, and so on.

Similar issues may arise when scanning the intra oral cavity to obtain3D data of the position and orientation of a dental implant in relationto the surrounding portions of the intra-oral cavity, and in additionthe corresponding impression abutment (also referred to herein as ascanning body) may partially obscure part of the intra-oral cavity.

Similarly, there are other situations in which a virtual model of aphysical item, obtained from scanning the physical item, is partiallyobscured or incomplete, or in which part of the physical item needs tobe subsequently modified after obtaining the virtual model. Suchsituations would conventionally require a rescanning of the entirephysical item, and this may involve significant additional time,inconvenience and, where the physical item is a part of the body of apatient (such as for example the intra oral cavity), this may alsoinvolve significant patient discomfort.

SUMMARY OF THE INVENTION

Herein “intra oral cavity” (also referred to interchangeably herein asdental cavity) is taken to include, but not be limited to, one or morereal teeth and/or one or more prosthetic teeth and/or part of one ormore real teeth, of one jaw or of both jaws of a patient, and/or canalso include all the real teeth and/or prosthetic teeth in one or bothjaws, and/or adjacent gingiva and other adjacent objects of the patient,and/or can include a physical model or other physical representation ofone or more or all the real teeth, and/or one or more or all of theprosthetic teeth, and/or part of one or more or all the real teeth, ofone jaw or of both jaws, and/or of adjacent gingiva and/or otheradjacent objects, of the patient.

Herein, “dental material” refers to any material associated with dentalstructures of the intra oral cavity, including but not limited tonatural dental materials such as for example enamel, dentine, pulp,dental roots, and also including non-natural dental materials from whichitems such as for example metallic and non-metallic fillings,restorations, crowns, bridges, copings, preparations, and so on, aremade from.

Herein, “dental clinic” refers to the interface between a dentalpractitioner and a patent, and thus includes any physical entity, inparticular a clinic, in which there is interaction between a dentalpatient and a dental practitioner. While “dental practitioner” typicallyrefers to a dentist, doctor or dental technician, it also includesherein all other caregivers, including for example dental surgeons,orthodontists, prosthodontists, dental assistants or any other caregiveror professional that may interact with a dental patient during thecourse of a dental treatment, or that may be involved in determining,preparing or providing dental treatment to a patient, particularlyprosthodontic treatment and/or orthodontic treatment. While “dentalpatient” (also referred to interchangeably herein as “patient”)typically refers to a person requiring the dental services of a dentalpractitioner, it also includes herein any person regarding whom it isdesired to create a 3D numerical model of the intra oral cavity thereof,for example for the purpose of practicing the same or for carrying outresearch.

The term “prosthesis” is herein taken to include any restoration and anyonlays, such as crowns and bridges, for example, and inlays, such ascaps, for example, or veneering, or any other artificial partial orcomplete denture.

The term “virtual”, applied herein with respect to models, manipulationof models, and so on, in particular 3D virtual models, for example,refers to being created, simulated, manipulated, carried out, and so onby means of a CAD/CAM system, a computer, a computer network, or thelike, i.e., in a computer environment, particularly with reference todigital dentistry.

While the term “preparation” typically refers to the stump and includingthe finish line and shoulder that is left of the tooth that is to bereplaced by the prosthesis—typically a crown—and on which the crown orother prosthesis is to be mounted or seated, the term “preparation”herein also includes artificial stumps, pivots, cores and posts, orother devices that may be implanted in the intraoral cavity in such aposition or in a position that is optimal for implanting the crown orother prosthesis.

The term “prosthodontic procedure” refers, inter alia, to any procedureinvolving the intraoral cavity and directed to the design, manufactureor installation of a dental prosthesis at a dental site within theintraoral cavity, or a real or virtual model thereof, or directed to thedesign and preparation of the dental site to receive such a prosthesis.

The term “3D virtual model” is used herein synonymously with digitalmodel, virtual model, 3D virtual model, 3D model, three dimensionalmodel, 3D numerical entity, numerical entity, computer model, 3Dcomputer model, dimensional data, 3D digitized data, 3D representation,and other such terms, and relates to a virtual representation in acomputer environment of a real object, such as for example a dentitionor at least a part of the intraoral cavity, or of a real (physical)model thereof, for example of a plaster model or a stone model of thedentition or any dental structure. In particular a virtual dental modelis one example of such a 3D virtual model of a dental structure.

The term “physical part” is used herein, synonymously with “real part”to refer to a physical object, in particular a physical dental objecthaving a real (physical) surface and included but not limited to part orall of the dentition of the intraoral cavity including dies, a coping, aprosthesis, and so on, or to a physical dental model of part or all ofthe dentition of the intraoral cavity including dies, a coping, aprosthesis, and so on.

The term “scanning” and its analogues refer to any procedure directed atobtaining 3D topographic data of a surface, particularly of a dentalsurface, wherein to provide a 3D virtual model, and thus includesmechanical-based or other contact systems and methods, typically basedon 3D probes for example, and/or any other noncontact systems andmethods included but not limited to optical-based systems and methodsand/or radiation-based systems and methods, including for exampleconfocal-based systems and methods, for example as disclosed in WO00/08415, the contents of which are incorporated herein in theirentirety by reference, x-ray systems and methods including CT systemsand methods, laser scanners, ultrasound scanners, and/or indeed anyother suitable system and method for providing 3D virtual model. Bycapturing, in this manner, an image from two or more angular locationsaround the structure, e.g. in the case of a teeth segment from thebuccal direction, from the lingual direction and optionally from abovethe teeth, an accurate three-dimensional representation of the teethsegment may be reconstructed. This may allow a virtual reconstruction ofthe three-dimensional structure in a computerized environment or aphysical reconstruction in a CAD/CAM apparatus.

The terms “tool” and “machining tool” are taken herein interchangeablyto include any tool that is adapted for material removal, and mayinclude inter alia mechanical tools such as drills for example, lasertools such as for example laser drills or cutters, ultrasonic tools suchas for example ultrasonic cutters, and so on. Preferably, the machiningpaths and material removal characteristics of such tools can be finelycontrolled, typically by computer systems or other automated means.

According to a first aspect of the invention there is provided acomputer based method for modifying a virtual model of a physicalstructure, comprising:

-   -   (A) displaying an image of said virtual model on a display        operatively connected to a computer system;    -   (B) identifying at least a portion of said virtual model that is        desired to be modified by interacting with the displayed image,    -   (C) modifying said virtual model by replacing in the computer        system at least said portion of said virtual model with        additional 3D data obtained from the physical structure to        provide a modified virtual model.

For example, the physical structure can comprise any one of anintra-oral cavity of a patient and a physical dental modelrepresentative of said intra-oral cavity. Additionally or alternatively,said virtual model includes a first three dimensional (3D) virtual modelrepresentative of a first physical part of the physical structure, andstep (A) comprises providing to the computer system said first 3Dvirtual model and displaying on said display a first display imagecorresponding to said first 3D virtual model.

For example, step (B) comprises identifying on said first display imageat least a first display image portion thereof by interacting with saiddisplay, said first display image portion corresponding to said portionof said virtual model, and said portion of said virtual model beingrepresentative of a first physical portion of said first physical part,and optionally step (C) comprises, subsequent to step (B):

-   -   causing the computer system to at least one of delete, remove        and replace said portion of said virtual model by applying a        corresponding function, i.e., a corresponding        computer-implemented function (i.e. a delete function, a remove        function or a replace function, respectively) to said first        display image portion via interaction with said first display        image on said display, to provide a modified first 3D virtual        model;    -   providing said additional 3D data in the form of a second 3D        virtual model representative of a second physical part of said        physical structure, wherein a spatial disposition of said second        physical part with respect to said first physical part is known        or determinable;    -   virtually registering said second 3D virtual model with respect        to said modified first 3D virtual model to provide said modified        virtual model wherein said portion of said virtual model is        replaced with a corresponding part of said second 3D virtual        model representative of a second physical portion of said second        physical part;    -   outputting said modified virtual model from said computer        system.

Alternatively, steps (B) and (C) comprise:

-   -   providing said additional 3D data in the form of a second 3D        virtual model representative of a second physical part of said        physical structure, wherein a spatial disposition of said second        physical part with respect to said first physical part is known        or determinable;    -   virtually registering said second 3D virtual model with respect        to said first 3D virtual model and further displaying in said        display a second display image corresponding to said second 3D        virtual model in registry with said first 3D virtual model;    -   identifying on said first display image at least a first display        image portion thereof by interacting with said display, said        first display image portion corresponding to said portion of        said virtual model, and said portion of said virtual model being        representative of a first physical portion of said first        physical part;    -   causing the computer system to at least one of delete, remove        and replace said portion of said virtual model by applying a        corresponding function, i.e., a corresponding        computer-implemented function, i.e., a corresponding        computer-implemented function (i.e. a delete function, a remove        function or a replace function, respectively) to said first        display image portion via interaction with said first display        image on said display, to provide said modified virtual model,        wherein said portion of said virtual model is replaced with a        corresponding part of said second 3D virtual model        representative of a second physical portion of said second        physical part;    -   outputting said modified virtual model from said computer        system.

For example, said first display image is visually encoded in a differentmanner to said second display image to facilitate identifying said firstdisplay image portion.

Additionally or alternatively, said second physical part at leastpartially overlaps said first physical portion of said first physicalpart of said physical structure to provide data on said spatialdisposition of said second physical part with respect to said firstphysical part.

Additionally or alternatively, said second physical portion of saidsecond physical part spatially corresponds to but is topographicallydifferent from said first physical portion of said first physical part.

Additionally or alternatively, said corresponding part of said second 3Dvirtual model spatially corresponds to but is topographically differentfrom said portion of said virtual model.

Additionally or alternatively, said first virtual model part representsa corresponding said first physical part of the physical structure,wherein said first virtual model part is considered to fail to complywith a predetermined requirement therefor. For example, saidpredetermined requirement comprises providing high surface definition ofa surface of interest in said first physical part of the physicalstructure. For example, at least a part of said surface of interest insaid first portion of said first physical part was obscured when thesaid first 3D virtual model was created, and wherein said second portionof said second physical part corresponds to said first portion of saidfirst physical part wherein said at least a part of said surface ofinterest is now unobscured. For example, said first portion of saidfirst physical part was obscured with a material including one or moreof saliva, debris, blood, and wherein said second portion of said secondphysical part corresponds to said first portion of said first physicalpart wherein said material has been removed from said surface ofinterest. For example, said first portion of said first physical partwas obscured with an artifact, and wherein said second portion of saidsecond physical part corresponds to said first portion of said firstphysical part wherein said artifact has been removed. For example, saidartifact comprises an impression abutment or any other structure mountedonto a dental implant that is embedded in said physical structure.

Additionally or alternatively, said predetermined requirement comprisesproviding a surface of interest in said first physical part of thephysical structure that is configured for enabling a prosthesis to bemounted with respect thereto. For example, at least a part of saidsurface of interest in said first portion of said first physical part isinadequate for enabling a prosthesis to be mounted with respect thereto,and wherein said second portion of said second physical part correspondsto said first portion of said first physical part wherein said at leasta part of said surface of interest has been physically altered. Forexample, where said at least a part of said surface of interest has beenphysically altered via a material removal operation wherein to modifythe topology of said at least a part of said surface of interest. Anexample of this is where said at least a part of said surface ofinterest comprises a finish line of a tooth onto which it is desired tomount the prosthesis, and said finish line is inadequately defined insaid first portion of said first physical part, but where said finishline is adequately defined in said second portion of said secondphysical part.

For example, said at least part of said surface of interest comprises apreparation surface of a preparation of a tooth onto which it is desiredto mount the prosthesis, wherein in said first portion of said firstphysical part said preparation surface is inadequate for mounting theprosthesis thereto, and wherein in said second portion of said secondphysical part said preparation surface is inadequate for mounting theprosthesis thereto.

Additionally or alternatively, said first virtual model part isdistorted or deficient and fails to properly represent a correspondingsaid first physical part of the physical structure.

Additionally or alternatively, the method further comprisesmanufacturing a physical dental model of the intra oral cavity based onsaid modified virtual model.

Additionally or alternatively, the method further comprises designing anorthodontic treatment plan based on said modified virtual model.

Additionally or alternatively, the method further comprisesmanufacturing a dental aligner based on said modified virtual model.

Additionally or alternatively, the method further comprisesmanufacturing orthodontic appliances based on said modified virtualmodel.

Additionally or alternatively, the method further comprisesmanufacturing a dental prosthesis based on said modified virtual model.

According to the first aspect of the invention there is also provided acomputer system configured for modifying a virtual model of a physicalstructure, comprising:

-   -   a display configured for displaying a display image of said        virtual model and for identifying at least a portion of said        virtual model that is desired to be modified responsive to        interaction of a user with the displayed display image, and        further configured for modifying said virtual model by replacing        in the computer system at least said identified portion of said        virtual model with additional 3D data obtained from the physical        structure to provide a modified virtual model.

For example, the computer system can configured for applying a computerimplemented method as defined above for the first aspect of theinvention, mutatis mutandis.

According to the first aspect of the invention there is also provided acomputer readable medium that embodies in a tangible manner a programexecutable for:

-   -   (A) enabling displaying a display image of a virtual model of a        physical structure;    -   (B) enabling interaction with the displayed display image to        identify at least a portion of said virtual model that is        desired to be modified    -   (C) enabling modifying said virtual model by replacing at least        said identified portion of said virtual model with additional 3D        data obtained from the physical structure to provide a modified        virtual model.

For example, the program can be configured for applying a computerimplemented method as defined above for the first aspect of theinvention, mutatis mutandis. Additionally or alternatively, the computerreadable medium comprises any one of optical discs, magnetic discs,magnetic tapes, or solid state memory storage.

According to a second aspect of the invention there is provided acomputer based method for modifying a virtual model of a physicalstructure, comprising:

-   -   (A) providing to the computer system said virtual model obtained        from the physical structure;    -   (B) providing to the computer system additional 3D data obtained        from at least a part of the physical structure;    -   (C) identifying at least one portion of the virtual model that        is desired to be modified with at least a part of said        additional 3D data; and    -   (D) modifying the virtual model in the computer system at least        by replacing said at least one identified portion of said        virtual model with said at least part of said 3D data to provide        a modified virtual model.

For example, step (A) comprises displaying a display image of saidvirtual model on a display operatively connected to a computer system.For example, step (B) comprises displaying a display image of saidmodified virtual model on said display. For example, step (C) comprisesidentifying said at least one portion of the virtual model on saiddisplay. For example, step (C) comprises interacting with said displayimages on said display to thereby replace said corresponding portion ofsaid virtual model with said portion of said additional 3D data.

Additionally or alternatively, said additional 3D data includes at leastone portion thereof that corresponds to but is different from acorresponding portion of said virtual model.

For example, said physical structure comprises any one of an intra-oralcavity of a patient and a physical dental model representative of saidintra-oral cavity.

Additionally or alternatively, said virtual model includes a first threedimensional (3D) virtual model representative of a first physical partof the physical structure, and step (A) comprises providing to thecomputer system said first 3D virtual model and displaying on saiddisplay a first display image corresponding to said first 3D virtualmodel. For example, the method can comprise identifying on said firstdisplay image at least a first display image portion thereof byinteracting with said display, said first display image portioncorresponding to said portion of said virtual model, and said portion ofsaid virtual model being representative of a first physical portion ofsaid first physical part.

For example, step (C) comprises:

-   -   causing the computer system to at least one of delete, remove        and replace said portion of said virtual model by applying a        corresponding function, i.e., a corresponding        computer-implemented function (i.e. a delete function, a remove        function or a replace function, respectively) to said first        display image portion via interaction with said first display        image on said display, to provide a modified first 3D virtual        model;    -   providing said additional 3D data in the form of a second 3D        virtual model representative of a second physical part of said        physical structure, wherein a spatial disposition of said second        physical part with respect to said first physical part is known        or determinable;    -   virtually registering said second 3D virtual model with respect        to said modified first 3D virtual model to provide said modified        virtual model wherein said portion of said virtual model is        replaced with a corresponding part of said second 3D virtual        model representative of a second physical portion of said    -   outputting said modified virtual model from said computer        system.

For example, steps (B) and (C) comprise:

-   -   providing said additional 3D data in the form of a second 3D        virtual model representative of a second physical part of said        physical structure, wherein a spatial disposition of said second        physical part with respect to said first physical part is known        or determinable;    -   virtually registering said second 3D virtual model with respect        to said first 3D virtual model and further displaying in said        display a second display image corresponding to said second 3D        virtual model in registry with said first 3D virtual model;    -   identifying on said first display image at least a first display        image portion thereof by interacting with said display, said        first display image portion corresponding to said portion of        said virtual model, and said portion of said virtual model being        representative of a first physical portion of said first        physical part;    -   causing the computer system to at least one of delete, remove        and replace said portion of said virtual model by applying a        corresponding function (i.e. a delete function, a remove        function or a replace function, respectively) to said first        display image portion via interaction with said first display        image on said display, to provide said modified virtual model,        wherein said portion of said virtual model is replaced with a        corresponding part of said second 3D virtual model        representative of a second physical portion of said second        physical part;    -   outputting said modified virtual model from said computer        system.

For example, said first display image is visually encoded in a differentmanner to said second display image to facilitate identifying said firstdisplay image portion.

Additionally or alternatively, said second physical part at leastpartially overlaps said first physical portion of said first physicalpart of said physical structure to provide data on said spatialdisposition of said second physical part with respect to said firstphysical part.

Additionally or alternatively, said second physical portion of saidsecond physical part spatially corresponds to but is topographicallydifferent from said first physical portion of said first physical part.

Additionally or alternatively, corresponding part of said second 3Dvirtual model spatially corresponds to but is topographically differentfrom said portion of said virtual model.

Additionally or alternatively, said first virtual model part representsa corresponding said first physical part of the physical structure,wherein said first virtual model part is considered to fail to complywith a predetermined requirement therefor. For example, saidpredetermined requirement comprises providing high surface definition ofa surface of interest in said first physical part of the physicalstructure. For example, at least a part of said surface of interest insaid first portion of said first physical part was obscured when thesaid first 3D virtual model was created, and wherein said second portionof said second physical part corresponds to said first portion of saidfirst physical part wherein said at least a part of said surface ofinterest is now unobscured. For example, said first portion of saidfirst physical part was obscured with a material including one or moreof saliva, debris, blood, and wherein said second portion of said secondphysical part corresponds to said first portion of said first physicalpart wherein said material has been removed from said surface ofinterest. For example, said first portion of said first physical partwas obscured with an artifact, and wherein said second portion of saidsecond physical part corresponds to said first portion of said firstphysical part wherein said artifact has been removed. For example, saidartifact comprises an impression abutment or any other structure mountedonto a dental implant that is embedded in said physical structure.

Additionally or alternatively, said predetermined requirement comprisesproviding a surface of interest in said first physical part of thephysical structure that is configured for enabling a prosthesis to bemounted with respect thereto. For example, at least a part of saidsurface of interest in said first portion of said first physical part isinadequate for enabling a prosthesis to be mounted with respect thereto,and wherein said second portion of said second physical part correspondsto said first portion of said first physical part wherein said at leasta part of said surface of interest has been physically altered. Forexample, where said at least a part of said surface of interest has beenphysically altered via a material removal operation wherein to modifythe topology of said at least a part of said surface of interest. Anexample of this is where said at least a part of said surface ofinterest comprises a finish line of a tooth onto which it is desired tomount the prosthesis, and said finish line is inadequately defined insaid first portion of said first physical part, but where said finishline is adequately defined in said second portion of said secondphysical part.

For example, said at least a part of said surface of interest comprisesa preparation surface of a preparation of a tooth onto which it isdesired to mount the prosthesis, wherein in said first portion of saidfirst physical part said preparation surface is inadequate for mountingthe prosthesis thereto, and wherein in said second portion of saidsecond physical part said preparation surface is inadequate for mountingthe prosthesis thereto.

Additionally or alternatively, said first virtual model part isdistorted or deficient and fails to properly represent a correspondingsaid first physical part of the physical structure.

Additionally or alternatively, the method further comprisesmanufacturing a physical dental model of the intra oral cavity based onsaid modified virtual model.

Additionally or alternatively, the method further comprises designing anorthodontic treatment plan based on said modified virtual model.

Additionally or alternatively, the method further comprisesmanufacturing a dental aligner based on said modified virtual model.

Additionally or alternatively, the method further comprisesmanufacturing orthodontic appliances based on said modified virtualmodel.

Additionally or alternatively, the method further comprisesmanufacturing a dental prosthesis based on said modified virtual model.

According to the second aspect of the invention there is also provided acomputer system configured for modifying a virtual model of a physicalstructure, the system:

-   -   (A) configured for enabling said virtual model obtained from the        physical structure to be provided thereto;    -   (B) configured for enabling additional 3D data obtained from at        least a part of the physical structure to be provided thereto;    -   (C) configured for enabling identifying at least one portion of        the virtual model that is desired to be modified with at least a        part of said additional 3D data;    -   (D) configured for modifying the virtual model at least by        replacing said corresponding portion of said virtual model with        said portion of said additional 3D data to provide a modified        virtual model.

For example, the computer system comprises a display operativelyconnected to the computer system, and the computer system can configuredfor applying a computer implemented method as defined above for thesecond aspect of the invention, mutatis mutandis.

According to the second aspect of the invention there is also provided acomputer readable medium that embodies in a tangible manner a programexecutable for:

-   -   (A) enabling a virtual model obtained from the physical        structure to be provided thereto;    -   (B) enabling additional 3D data obtained from at least a part of        the physical structure to be provided thereto;    -   (C) enabling identifying at least one portion of the virtual        model that is desired to be modified with at least a part of        said additional 3D data;    -   (D) enabling modifying the virtual model at least by replacing        said corresponding portion of said virtual model with said        portion of said additional 3D data to provide a modified virtual        model.

For example, the program can be configured for applying a computerimplemented method as defined above for the second aspect of theinvention, mutatis mutandis. Additionally or alternatively, the computerreadable medium comprises any one of optical discs, magnetic discs,magnetic tapes, or solid state memory storage.

According to a third aspect of the invention there is provided acomputer based method for modifying a virtual model of a physicalstructure, comprising:

-   -   (A) providing to the computer system said virtual model obtained        from the physical structure;    -   (B) providing to the computer system additional 3D data obtained        from the physical structure, said additional 3D data including        at least one portion thereof that corresponds to but is        different from a corresponding portion of said virtual model;    -   (C) modifying the virtual model in the computer system at least        by replacing said corresponding portion of said virtual model        with said portion of said additional 3D data to provide a        modified virtual model.

For example, step (A) comprises displaying a display image of saidvirtual model on a display operatively connected to a computer systemFor example, step (B) comprises identifying said corresponding portionof said virtual model on said display.

Additionally or alternatively step (C) comprises interacting with saiddisplay image on said display to thereby replace said correspondingportion of said virtual model with said portion of said additional 3Ddata.

Additionally or alternatively said physical structure comprises any oneof an intra-oral cavity of a patient and a physical dental modelrepresentative of said intra-oral cavity.

Additionally or alternatively said virtual model includes a first threedimensional (3D) virtual model representative of a first physical partof the physical structure, and step (A) comprises providing to thecomputer system said first 3D virtual model and displaying on saiddisplay a first display image corresponding to said first 3D virtualmodel. For example, the method comprises identifying on said firstdisplay image at least a first display image portion thereof byinteracting with said display, said first display image portioncorresponding to said portion of said virtual model, and said portion ofsaid virtual model being representative of a first physical portion ofsaid first physical part.

For example, step (C) comprises:

-   -   causing the computer system to at least one of delete, remove        and replace said portion of said virtual model by applying a        corresponding function, i.e., a corresponding        computer-implemented function (i.e. a delete function, a remove        function or a replace function, respectively) to said first        display image portion via interaction with said first display        image on said display, to provide a modified first 3D virtual        model;    -   providing said additional 3D data in the form of a second 3D        virtual model representative of a second physical part of said        physical structure, wherein a spatial disposition of said second        physical part with respect to said first physical part is known        or determinable;    -   virtually registering said second 3D virtual model with respect        to said modified first 3D virtual model to provide said modified        virtual model wherein said portion of said virtual model is        replaced with a corresponding part of said second 3D virtual        model representative of a second physical portion of said second        physical part;    -   outputting said modified virtual model from said computer        system.

For example, steps (B) and (C) comprise:

-   -   providing said additional 3D data in the form of a second 3D        virtual model representative of a second physical part of said        physical structure, wherein a spatial disposition of said second        physical part with respect to said first physical part is known        or determinable;    -   virtually registering said second 3D virtual model with respect        to said first 3D virtual model and further displaying in said        display a second display image corresponding to said second 3D        virtual model in registry with said first 3D virtual model;    -   identifying on said first display image at least a first display        image portion thereof by interacting with said display, said        first display image portion corresponding to said portion of        said virtual model, and said portion of said virtual model being        representative of a first physical portion of said first        physical part;    -   causing the computer system to at least one of delete, remove        and replace said portion of said virtual model by applying a        corresponding function, i.e., a corresponding        computer-implemented function (i.e. a delete function, a remove        function or a replace function, respectively) to said first        display image portion via interaction with said first display        image on said display, to provide said modified virtual model,        wherein said portion of said virtual model is replaced with a        corresponding part of said second 3D virtual model        representative of a second physical portion of said second        physical part;    -   outputting said modified virtual model from said computer        system.

For example, said first display image is visually encoded in a differentmanner to said second display image to facilitate identifying said firstdisplay image portion.

Additionally or alternatively, said second physical part at leastpartially overlaps said first physical portion of said first physicalpart of said physical structure to provide data on said spatialdisposition of said second physical part with respect to said firstphysical part.

Additionally or alternatively, said second physical portion of saidsecond physical part spatially corresponds to but is topographicallydifferent from said first physical portion of said first physical part.

Additionally or alternatively, said corresponding part of said second 3Dvirtual model spatially corresponds to but is topographically differentfrom said portion of said virtual model.

Additionally or alternatively, said first virtual model part representsa corresponding said first physical part of the physical structure,wherein said first virtual model part is considered to fail to complywith a predetermined requirement therefor.

For example, said predetermined requirement comprises providing highsurface definition of a surface of interest in said first physical partof the physical structure. For example, at least a part of said surfaceof interest in said first portion of said first physical part wasobscured when the said first 3D virtual model was created, and whereinsaid second portion of said second physical part corresponds to saidfirst portion of said first physical part wherein said at least a partof said surface of interest is now unobscured. For example, said firstportion of said first physical part was obscured with a materialincluding one or more of saliva, debris, blood, and wherein said secondportion of said second physical part corresponds to said first portionof said first physical part wherein said material has been removed fromsaid surface of interest. For example, said first portion of said firstphysical part was obscured with an artifact, and wherein said secondportion of said second physical part corresponds to said first portionof said first physical part wherein said artifact has been removed. Forexample, said artifact comprises an impression abutment or any otherstructure mounted onto a dental implant that is embedded in saidphysical structure.

For example, said predetermined requirement comprises providing asurface of interest in said first physical part of the physicalstructure that is configured for enabling a prosthesis to be mountedwith respect thereto. For example, at least a part of said surface ofinterest in said first portion of said first physical part is inadequatefor enabling a prosthesis to be mounted with respect thereto, andwherein said second portion of said second physical part corresponds tosaid first portion of said first physical part wherein said at least apart of said surface of interest has been physically altered. Forexample, where said at least a part of said surface of interest has beenphysically altered via a material removal operation wherein to modifythe topology of said at least a part of said surface of interest. Anexample of this is where said at least a part of said surface ofinterest comprises a finish line of a tooth onto which it is desired tomount the prosthesis, and said finish line is inadequately defined insaid first portion of said first physical part, but where said finishline is adequately defined in said second portion of said secondphysical part.

For example, said at least a part of said surface of interest comprisesa preparation surface of a preparation of a tooth onto which it isdesired to mount the prosthesis, wherein in said first portion of saidfirst physical part said preparation surface is inadequate for mountingthe prosthesis thereto, and wherein in said second portion of saidsecond physical part said preparation surface is inadequate for mountingthe prosthesis thereto.

Additionally or alternatively, said first virtual model part isdistorted or deficient and fails to properly represent a correspondingsaid first physical part of the physical structure.

Additionally or alternatively, the method further comprisesmanufacturing a physical dental model of the intra oral cavity based onsaid modified virtual model.

Additionally or alternatively, the method further comprises designing anorthodontic treatment plan based on said modified virtual model.

Additionally or alternatively, the method further comprisesmanufacturing a dental aligner based on said modified virtual model.

Additionally or alternatively, the method further comprisesmanufacturing orthodontic appliances based on said modified virtualmodel.

Additionally or alternatively, the method further comprisesmanufacturing a dental prosthesis based on said modified virtual model.

According to the third aspect of the invention there is also provided acomputer system configured for modifying a virtual model of a physicalstructure, the system being:

-   -   (A) configured for enabling said virtual model obtained from the        physical structure to be provided thereto;    -   (B) configured for enabling additional 3D data obtained from the        physical structure to be provided thereto, said additional 3D        data including at least one portion thereof that corresponds to        but is different from a corresponding portion of said virtual        model;    -   (C) configured for modifying the virtual model at least by        replacing said corresponding portion of said virtual model with        said portion of said additional 3D data to provide a modified        virtual model.

For example, the computer system comprises a display operativelyconnected to the computer system, and the computer system can configuredfor applying a computer implemented method as defined above for thethird aspect of the invention, mutatis mutandis.

According to the third aspect of the invention there is also provided acomputer readable medium that embodies in a tangible manner a programexecutable for:

-   -   (A) enabling said virtual model obtained from the physical        structure to be provided thereto;    -   (B) enabling additional 3D data obtained from the physical        structure to be provided thereto, said additional 3D data        including at least one portion thereof that corresponds to but        is different from a corresponding portion of said virtual model;    -   (C) modifying the virtual model at least by replacing said        corresponding portion of said virtual model with said portion of        said additional 3D data to provide a modified virtual model.

For example, the program can be configured for applying a computerimplemented method as defined above for the third aspect of theinvention, mutatis mutandis. Additionally or alternatively, the computerreadable medium comprises any one of optical discs, magnetic discs,magnetic tapes, or solid state memory storage.

It is readily apparent that in at least some embodiment according to oneor more of the first, second or third aspects of the invention, thesecond 3D virtual model contains new or additional 3D data of the firstphysical part of said physical structure in a region thereofcorresponding to the first virtual model part that was deleted orremoved or replaced. Said differently, the second 3D virtual modelcontains 3D data representative of a region of the first physical partof said physical structure having a spatial relationship with the restof the first physical part corresponding to the virtual spatialrelationship of first virtual model part of said first 3D virtual model(that was deleted or removed or replaced) with respect to the respectiverest of the first 3D virtual model.

In at least some embodiments of the invention, said physical structureis a dental structure. For example, said physical structure comprises atleast a part of an intra-oral cavity of a patient. For example, saidphysical structure comprises a physical dental model representative ofat least a part of an intra-oral cavity of a patient. In otherembodiments of the invention, the physical structure may be a non-dentalstructure.

It is readily apparent that in at least some embodiment according to oneor more of the first, second or third aspects of the invention, thefirst 3D virtual model is analyzed by a user with respect to criteria todetermine the suitability of the first physical part for the purpose ofallowing a prosthesis to be seated thereon. While this analysis may be avisual and intuitive analysis by the user, the analysis may beoptionally carried out by the computer system (or indeed by a differentcomputer system) using suitable software, wherein the analysis may befully automated or interactive with the user. The analysis may also beconfigured for identifying regions of the first physical part (i.e., onthe first 3D virtual model) that require physical change—for example,the criteria may include the amount of original tooth reduction requiredat various points on the tooth to allow for good prosthesis seating andto allow for a minimum prosthetic thickness that is consistent withmechanical integrity standards therefor. The analysis software mayfurther identify these regions and mark them automatically. Furthermore,the deleting/removing/replacing step can also be carried outautomatically once these regions are marked, either immediately, orfollowing a confirmation command from the user. Thereafter the user canrework the physical part, in particular the preparation in the regionsthereof previously identified by the analysis software and now erasedand missing in the modified first 3D virtual model.

Some specific embodiments according to at least one of the first, secondor third aspect of the invention are provided below:

Embodiment A

(a) A first virtual model (computer 3D model) VM1 of a physical part RM1of the intra-oral cavity (typically of a patient, in vivo, butalternatively the scan may be of a physical dental model, or of animpression of the intra oral cavity, or of an impression a physicaldental model) including tooth or teeth of interest is created, forexample by scanning with an optical scanner, x-ray scanner, laserscanner or other scanner.

(b) Virtual model VM1 is displayed (and optionally magnified and/ormanipulated) to visually check the model.

(c) A part DVM1 of the virtual model is “deleted” (or otherwise removed)interactively on the screen by the user, resulting in a modified firstvirtual model VM1′.

(d) For example, this deleted part DVM1 of the model may not beacceptable and needs to be better defined for some dental procedure. Thedeleted part DVM1 may correspond, for example, to a part of a dentalsurface DRM1 that was not clearly defined in the first virtual model VM1because, for example, during the initial scan that resulted in VM1, thecorresponding part DRM1 of the physical dental surface was covered withsaliva, blood, debris, or otherwise obscured by another element such asfor example part of the gums, cheek, tongue, dental instruments etc.

(e) For example, the dental procedure may be providing a dentalprosthesis, and the deleted part DVM1 may be part of the finish linethat was not clear.

(f) A second virtual model VM2 is created, representing the part DRM1 ofthe physical dental surface plus additional identifying surface data ID.

(g) For example, the part DRM1 of the physical dental surface is cleanedup and/or unobstructed, and then rescanned. The scanning procedure alsoincludes scanning an additional part P2 the real dental surfacesurrounding the part DRM1 to obtain additional identifying surface dataID.

(h) The second virtual model VM2 is then manipulated in the computersystem to register it onto the modified first virtual model VM1′. Inthis connection, the identifying surface data ID of second virtual modelVM2 may be useful as it may be aligned with corresponding parts of themodified first virtual model VM1′, since the surface data for part P2 ofthe real physical dental surface should be nominally identical in bothscans.

(j) In this aligned position, a part DVM2 of the second virtual modelVM2 fits in and corresponds to the deleted portion DVM1, and part DVM2is then stitched to modified first virtual model VM1′ to create afurther modified first virtual model VM1″. The remainder of the secondvirtual model VM2, including the identifying surface data ID may then bediscarded.

(k) The further modified first virtual model VM1″ thus replaces theundesired part DVM1 of the original virtual model VM1 with new data.

(1) The above steps (b) to (k) may be repeated as often as desired.

A feature of at least this embodiment is that the user only needs to“correct” parts of the original virtual model of the dental surface, anddoes not need to rescan everything, should part of the virtual model notbe acceptable.

Embodiment B

(A) This is similar to Embodiment A, mutatis mutandis, the maindifference being that the physical part RM1 of the intra-oral cavityincludes a removable artifact which may be temporarily obscuring part ofthe dental surfaces.

(B) For example, the artifact may be a scanning body or impressionabutment or any other structure that is mounted onto a dental implantand projects into the intra oral cavity so that the spatial orientationand other characteristics of the implant (which is already anchored inthe jaw and thus cannot be seen) with respect to the dental surfaces maybe derived from the position/orientation of the artifact. Alternatively,the artifact may be a prosthesis, such as a crown for example, that ismounted to the implant or that is temporarily seated onto a preparation.

(C) The first virtual scan thus includes the artifact and all the otherdental areas of interest, but the presence of the artifact makes itdifficult to obtain a full scan of the dental surface as the artifactmay be too close in parts to the dental surfaces (e.g. an adjacenttooth).

(D) The part of the virtual model corresponding to the dental surface(and possibly also part of the artifact) is deleted or otherwise removedinteractively in a similar manner to steps (b) and (c) above forEmbodiment A, mutatis mutandis.

(E) The artifact is removed from the intraoral cavity and an area of thedental surfaces including the area that was not fully defined previouslyis scanned, and in the absence of the artifact, full definition shouldbe achieved.

(F) The original virtual model in (A) for Embodiment B is then modifiedwith the new scan data obtained in (E), in a manner similar to steps (f)to (j) above for Embodiment A, mutatis mutandis.

(G) If necessary, the artifact itself (or part thereof) may also bescanned separately to further modify the original virtual model, if partof the artifact was deleted in step (D).

A feature of at least this embodiment is that it allows obtaining avirtual model of the intra oral cavity including such an artifact,wherein even the parts of the dental surfaces originally obscured by theartifact can be fully defined with respect thereto.

Embodiment C

(i) This is also similar to Embodiment A, mutatis mutandis, the maindifference being that the physical part RM1 of the intra-oral cavity iswell defined in the virtual model, but the physical part RM1 is notsuitable for the dental procedure.

(ii) For example, the part RM1 may be a dental preparation for a dentalprosthesis (e.g. a crown), and analysis of the first dental model withrespect to a virtual model of the opposing dentition of the opposite jawreveals that the form of the preparation would result in an inadequatestructure for the prosthesis. For example, the dental preparation is toolong, and would result in the thickness of the crown at the cusp beingtoo thin and thus mechanically weak.

(iii) For example, a technique based on the virtual occlusion mapinvention, as disclosed in U.S. Pat. No. 6,334,853, assigned to CadentLtd, may be used for determining the distances between the preparationand the opposed dental surfaces, which provides a measure of thecorresponding thickness of the respective dental prosthesis.

(iv) The part of the first virtual model that corresponds to theunsuitable part of the dental preparation is then deleted, as in step(c) above for Embodiment A, mutatis mutandis.

(v) The real dental preparation is also modified by the dentalpractitioner in the areas found to be unsuitable in (ii), and thereafterthe preparation is scanned in the newly worked area, also includingadditional part of the preparation that was not altered.

(vi) The scan data corresponding to the unaltered area is used foraligning the new scan data for the worked part of the dental preparationin a similar manner to (h), (j), (k) above for Embodiment A, mutatismutandis, to provide a modified virtual model.

(vii) The newly modified virtual model of (vi) is checked as in (ii) and(iii), and if necessary, steps (ii) to (vi) repeated as often asrequired, until the newly modified virtual model has a geometry for thedental preparation (corresponding to the real geometry of the dentalpreparation) that is adequate for a prosthesis.

In an alternative application of embodiment C in orthodontics, apatient's dentition is scanned and an orthodontic treatment is planned.Prior to commencing the treatment it is determined that the treatmentmay be improved by removing or filing some teeth. In such a case theareas including the removed/modified teeth are rescanned and thesereplace the parts of the original virtual model corresponding to theseteeth. A new orthodontic treatment can then be planned based on theupdated virtual model, and aligners and/or other orthodontic appliancescan then be manufactured.

A feature of at least this embodiment is that it allows the dentalpractitioner to modify a dental structure (such as for example a dentalpreparation or a missing or modified tooth) in a quick and easy mannerwith a minimum of scanning after the initial virtual scan.

According to at least one aspect of the invention there is provided asystem and method are provided for modifying a virtual model of aphysical structure by displaying an image of the virtual model, deleting3D data of parts of the virtual model by interacting with the displayedimage, and replacing at least a portion of the deleted 3D data with new3D data obtained from the physical structure to provide a modifiedvirtual model.

BRIEF DESCRIPTION OF THE DRAWINGS

In order to understand the invention and to see how it may be carriedout in practice, embodiments will now be described, by way ofnon-limiting example only, with reference to the accompanying drawings,in which:

FIG. 1 shows, by way of a flow chart, a method m accordance with a firstembodiment of the invention.

FIG. 2 shows various elements of a system used for providing andmanipulating a virtual dental model according to the embodiment of FIG.1.

FIG. 3 schematically illustrates providing a first virtual model to thecomputer system of FIG. 2, and interacting with the display thereof.

FIG. 4 schematically illustrated a modified first computer model asdisplayed by the computer system of FIG. 2.

FIG. 5 schematically illustrates providing a second virtual model to thecomputer system of FIG. 2.

FIG. 6 schematically illustrates manipulating the second virtual modelof FIG. 5 into registration with the modified computer model of FIG. 4.

FIG. 7 schematically illustrates an example of physical part used inconjunction with a second embodiment of the invention.

FIG. 8 schematically illustrates an example of physical part used inconjunction with a third embodiment of the invention.

FIG. 9 shows, by way of a flow chart, a method in accordance with analternative variation of the first embodiment of the invention.

DETAILED DESCRIPTION OF THE INVENTION

A computer-based method, particularly useful for creating, manipulatingand refining a virtual dental model, according to a first embodiment ofthe invention and designated with reference numeral 400 is illustratedin FIG. 1.

In step 410 carried out by the method 400, an accurate 3Drepresentation, i.e., a first 3D virtual model of a physical structure,in this example the intraoral cavity, is obtained. This first 3D virtualmodel is generally designated with the numeral VM1 in the accompanyingfigures. As used herein, and as already discussed, the intra oral cavitycan include one or more real teeth and/or one or more prosthetic teethand/or part of one or more real teeth of one jaw or of both jaws of apatient, and/or can also include all the real teeth and/or prostheticteeth in one or both jaws, and/or adjacent gingiva and other adjacentobjects of the patient, and/or can include a physical model or otherphysical representation of one or more or all the real teeth, and/or oneor more or all of the prosthetic teeth, and/or part of one or more orall the real teeth, of one jaw or of both jaws, and/or of adjacentgingiva and/or other adjacent objects, of the patient.

Referring also to FIG. 3, the first 3D virtual model VM1 is thusrepresentative of a physical part RM1 of the intra-oral cavity(typically of a patient, in vivo, but alternatively the first 3D virtualmodel VM1 may be of a physical dental model, as will become clearerbelow) including a tooth or teeth of interest.

The first 3D virtual model VM1, i.e. the 3D digitized data of theintraoral cavity, including the dentition and associated anatomicalstructures of a patient, may be provided using any suitable scanningequipment for scanning a patient's teeth, for example by scanning theintra oral cavity of the patient in vivo, or via scanning of a physicalmodel or an impression thereof. Referring to FIG. 2, this may be donefor example at a dental clinic 22 by the dentist or another dentalpractitioner. The dental clinic 22 is typically linked to one or moredental labs 26, and possibly also to a dental service center 23 via acommunication means or network such as for example the Internet or othersuitable communications medium such as an intranet, local accessnetwork, public switched telephone network, cable network, satellitecommunication system, and the like, indicated by the cloud at 24. Thedental lab 26 is particularly adapted for defining the finish line, aswell as for other tasks such as designing prostheses, designing andmanufacturing physical models of the dentition, and possibly also formanufacturing at least an external profile of the prostheses. The dentalservice center 23 is particularly adapted for manufacturing dentalhardware that requires a very high degree of precision, for exampleinner surfaces of prostheses that are required to match externalsurfaces of copings, and possibly also the copings themselves.

Such scanning equipment may include any suitable scanner, for example,an optical hand-held scanner 31 (or any other suitable optical scanner,mechanical scanner, ultrasound scanner, radiation-based scanner,including for example x-ray scanner, or other laser scanner, or anyother suitable scanner) that is used by the practitioner to acquire the3D data for example by directly scanning the patient's oral cavity. Forexample, a hand held apparatus including a probe for determining threedimensional structure by confocal focusing of an array of light beamscan be used, for example as manufactured under the name of CB-CAD or asdisclosed in WO 00/08415, the contents of which are incorporated hereinby reference in their entirety, and in which in at least one embodiment,the apparatus is configured for determining surface topology of aportion of a three-dimensional structure, such as the intra oral cavityfor example, the apparatus comprising:

-   -   a probing member with a sensing face;    -   an illumination unit for providing an array of incident light        beams transmitted towards the structure along an optical path        through said probing unit to generate illuminated spots on said        portion;    -   a light focusing optics defining one or more focal planes        forward said probing face at a position changeable by said        optics, each light beam having its focus on one of said one or        more focal plane;    -   a translation mechanism for displacing said focal plane relative        to the structure along an axis defined by the propagation of the        incident light beams;    -   a detector having an array of sensing elements for measuring        intensity of each of a plurality of light beams returning from        said spots propagating through an optical path opposite to that        of the incident light beams;    -   a processor coupled to said detector for determining for each        light beam a spot-specific position, being the position of the        respective focal plane of said one or more focal planes yielding        maximum measured intensity of the returned light beam, and based        on the determined spot-specific positions, generating data        representative of the topology of said portion.

The 3D data obtained by the scanner 31 may then be stored in a suitablestorage medium, for example a memory in a computer workstation or system32, which includes a display 33, such as for example a computer screen,operatively connected thereto. Typically, the 3D data can be sent over asuitable communication network 24 to the dental lab 26, for furtherprocessing. Optionally, the 3D data may be sent via communicationnetwork 24 to the dental service center 23, for the further processing.

The computer system 32 is configured for enabling the user to interactwith images displayed in the display 33, and comprises an input device40 configured for enabling the user to point to displayed objects on thedisplay, and/or to interact with the display 33 to at least enabledeletion and/or replacement of images thereon, as will become clearerbelow. The input device 40 may comprise, for example, a wand 34 (forexample a light sensitive wand, or light pen) and/or a mouse 35, and/orthe display 33 may incorporate the input device, being configured as atouch sensitive screen configured for at least enabling deletion and/orreplacement of images thereon wherever a displayed image on the screenis touched or stroked by the user.

Optionally, color data of the intraoral cavity may also be providedtogether with the 3D data, and thus the virtual model comprisescoordinates and corresponding color information of the dental surfacesscanned. Examples of such scanners are disclosed in co-pendingapplication entitled “METHOD AND APPARATUS FOR COLOUR IMAGING ATHREE-DIMENSIONAL STRUCTURE”, published under US 2006-0001739, and whichis assigned to the present Assignee. The contents of the aforesaidco-pending application are incorporated herein by reference in theirentirety, and at least one embodiment of such a scanner comprises adevice configured for determining the surface topology and associatedcolor of at least a portion of a three dimensional structure, such asthe intra oral cavity for example, comprising:

-   -   (a) scanning means adapted for providing depth data of said        portion corresponding to a two-dimensional reference array        substantially orthogonal to a depth direction;    -   (b) imaging means adapted for providing two-dimensional color        image data of said portion associated with said reference array;        wherein the device is adapted for maintaining a spatial        disposition with respect to said portion that is substantially        fixed during operation of said scanning means and said imaging        means.

Such scanning means (a) may comprise the at least one embodiment of theapparatus disclosed in disclosed in WO 00/08415 and for example asdefined above in connection therewith.

Alternatively or additionally, the clinic 22 may include equipment forobtaining a negative casting of a patient's teeth. In this case, thenegative cast or impression can be taken of the patient's teeth, in amanner known in the art, and this physical negative model is dispatchedto one of the dental labs 26 that is equipped to prepare from thenegative model a physical positive cast suitable for scanning. Thepositive cast may be scanned at the dental lab 26 by any method known inthe art, including for example x-ray scanning, laser scanning or usingthe aforesaid probe manufactured under the name of CB-CAD or asdisclosed in WO 00/08415 and referred to above. The 3D data is thentransmitted over the network 24 to the service center 23. Alternatively,the positive cast may be dispatched to the service center 23 by thedental clinic 22 and scanned at the service center 23 to obtain the 3Ddata. Alternatively, the service center 23 produces a positive modelfrom the negative model and is scanned thereat, or sent to the dentalclinic 22 to be scanned thereat. Alternatively, the negative model isscanned, either at the dental lab 26 or at the service center 23.

Alternatively, the negative model provided by the clinic 22 is sent tothe service center 23, either directly by the clinic 22, or indirectlyvia the dental lab 26, and a composite physical positive-negative modelmay be manufactured from the original negative model. Thereafter, thepositive-negative model may be processed to obtain 3D digitized data,for example as disclosed in U.S. Pat. No. 6,099,314, assigned to thepresent Assignee, and the contents of which are incorporated herein intheir entirety.

Alternatively, the 3D first virtual model VM1 may be obtained in anyother suitable manner, including other suitable intra oral scanningtechniques, based on optical methods, direct contact or any other means,applied directly to the patient's dentition. Alternatively, X-ray based,CT based, MRI based, or any other type of scanning of the patient or ofa positive and/or negative model of the intra-oral cavity may be used.As is clear from the aforegoing, the dimensional data of the respectivevirtual model may be associated with a complete dentition, or of apartial dentition, for example such as a preparation only of the intraoral cavity.

Once the 3D digitized data is obtained, the virtual model VM1 is inputto suitable computer system 32, and the next steps 420 to 470, areperformed with the aid of computer system 32. In alternative variationsof this embodiment, the scanner 31 provides raw data to the computersystem 32 which then generates the first virtual model VM1 therein fromthis raw data.

In step 420, the first virtual model VM1 is displayed (and optionallymagnified and/or manipulated) in display 33 as a first display image DI1corresponding to the first virtual model VM1.

For example, the display 33 can be a 2D display such as conventional 2Ddisplay screen, and thus the images are 2D images. Alternatively, thedisplay can be a 3D display and the images are also 3D images.Alternatively, the display can be a 2D stereoscopic display and theimages are also 2D stereoscopic images.

The first virtual model VM1 can then be checked visually by the user viathe image DI1 on the display 33. This image DI1 can be virtuallymanipulated on the display 33 with respect to up to six degrees offreedom (i.e., translated and/or rotated with respect to one or more ofthree mutually orthogonal axes) by suitably manipulating the firstvirtual model VM1 within the computer environment of system 32, usingsuitable user controls (hardware and/or virtual) to enable viewing thefirst virtual model VM1 from any desired direction on the screen 33 viathe corresponding display image DI1 on the display 33, enabling thefirst virtual model VM1 to be visually checked by the user.

According to this embodiment, steps 430 to 470 are implemented when partof the first virtual model VM1, designated DVM1, is considered to beunsuitable or undesired, while concurrently it is desired to retainanother part of the first virtual model VM1.

For example, this part DVM1 of the first virtual model VM1 may beconsidered by the user as not acceptable or desirable and needing to bebetter defined for a particular dental procedure of interest. The partDVM1 can correspond, for example, to a part of a real dental surfaceDRM1 of the real (physical) part RM1 of the intra-oral cavity that wasnot sufficiently clearly defined in the first virtual model VM1. Forexample, during the initial 3D data collection step, for example viascanning, that resulted in the first virtual model VM1 being generated,the corresponding part DRM1 of the physical dental surface was coveredwith foreign material, such as for example saliva, blood, debris, or wasotherwise obscured by another element such as for example part of thegums, cheek, tongue, dental instruments, artifacts, etc. Alternatively,for example, during the initial 3D data collection step, for example viascanning, that resulted in the first virtual model VM1 being generated,the virtual part DVM1 may be distorted or otherwise defective and doesnot properly correspond to real part DRM1, for example due to somedefect in the actual scanning process, while the real part DRM1 itselfis acceptable.

In step 430 this part DVM1 of the first virtual model VM1 is marked onthe first image of the first virtual model VM1 on the display 33. By“marked” it is meant that this zone or area of the first image DI1 is atleast identified by the user, and may optionally include interactingwith the display 33 so that a visual mark is included in the image toshow and demarcate this area on the image DI1 that is on the display 33.For example, wand 34, operatively connected to the computer system 32can be used for interacting with the display 33, wherein a visual markis displayed wherever the tip 39 of the wand 34 touches the image DI1 onthe display 33.

In step 440, and referring also to FIG. 4, part DVM1 of the firstvirtual model VM1 is then “deleted” or otherwise removed or replacedinteractively on the display 33 by the user, resulting in the firstvirtual model VM1 being modified to become a modified first virtualmodel VM1′, by passing the tip of the wand 34 over the marked area ofthe image DI1. The deletion, removal or replacement of part DVM1 isresponsive to the application of a special correspondingcomputer-implemented function (i.e. a corresponding deletion function,removal function or replacement function) via the computer system 32.The special computer-implemented function is, for ease of referencereferred to herein as the “delete” function (and includes at least oneof a remove function, remove command, delete command, replace command,or replace function) of the computer system 32, and operates to modifyfor example the first virtual model VM1 by at least one of deleting,removing or replacing a part thereof when “delete” function isactivated, i.e., when the “delete” function is applied to the markedarea of the image DI1.

According to this special “delete” function, the computer system 32 isconfigured for causing at least the deletion and/or removal and/orreplacement of data corresponding to part DVM1 of the first virtualmodel VM1, when a corresponding part of the display image DI1 on thedisplay 33 is correspondingly deleted or removed or replaced on thedisplay 33, which in turn is accomplished by interaction by the user,such as touching the desired parts of the image DI1 on the display 33with the wand 34 when the “delete” function is activated.

Although in at least one embodiment the display image DI1 is a twodimensional image, each element or pixel of such a 2D display image DI1corresponds to a unique part of the three-dimensional data of the firstvirtual model VM1, as viewed in a viewing direction corresponding toimage DI1, and thus the computer system is configured for deleting orremoving or replacing such parts of the three-dimensional data from thefirst virtual model VM1 when the corresponding elements or pixels in theimage DI1 are “touched” on the display 33 and the computer system 32 hasthe special “delete” function activated.

Particularly where the first virtual model VM1 represents a threedimensional surface of the physical part RM1, it is readily understoodthat the deleted or removed or replaced portions of the first virtualmodel VM1 are also three dimensional surfaces.

The above interaction for deletion or removal with respect to image DI1can alternatively be accomplished without recourse to touching thedisplay 33. For example, the computer system may be additionally oralternatively configured for enabling parts of the image DI1 to bedeleted or removed by interaction therewith via mouse 35 or any othersuitable input device 40.

The first virtual model VM1 is thus modified by the loss of the threedimensional data corresponding to part DVM1, effectively generating amodified first 3D virtual model VM1′.

For example, the dental procedure of interest may be providing a dentalprosthesis, and the deleted or removed part DVM1 may be part of thefinish line 550 of a preparation 555 that exists in real dental surfaceDRM1, but failed to be represented at all, or to be clearly represented,in the first virtual model VM1, for example due to obfuscation thereofby foreign material, distortion of the scanned data, etc, as discussedabove, for example.

The dental surface DRM1 is thus considered the “first physical portion”of step 440.

In step 450, and referring also to FIG. 5, a second virtual model VM2 iscreated, representing a second part RM2 of the physical dentalstructure. The second virtual model VM2 comprises a virtual part DVM2that represents the part DRM1 of the physical dental surface, plusadditional identifying surface data ID that represents a part P2 of thereal dental surface in proximity to part DRM1, and thus second part RM2at least partially overlaps with the physical part RM1. Before doing so,the part DRM1 of the physical dental surface is cleaned up and/orunobstructed, and for example rescanned to obtain second virtual modelVM2. The scanning procedure thus also includes scanning the additionalpart P2 the real dental surface surrounding the part DRM1 to obtainadditional identifying 3D surface data ID.

It is to be noted that in a variation of step 450, for example thevirtual part DVM1 may be distorted or otherwise defective and does notproperly correspond to real part DRM1, for example due to some defect inthe actual scanning process thereof, while the real part DRM1 itself isacceptable. In such a case, second virtual model VM2 is created,representing a second part RM2 of the physical dental structure, andlikewise the second virtual model VM2 comprises a virtual part DVM2 thatrepresents the same part DRM1 of the physical dental surface, plusadditional identifying surface data ID that represents a part P2 of thereal dental surface in proximity to part DRM1, and thus second part RM2at least partially overlaps with the physical part RM1. While scanningto provide the second virtual model VM2, it is now ensured that secondvirtual model VM2 is free from distortions or imperfections thatoriginate from the scanning procedure itself.

In step 460, and referring also to FIG. 6, the second 3D virtual modelVM2 is spatially registered with respect to the modified first 3Dvirtual model VM1′ to provide a composite third 3D virtual model VM3,wherein the part DVM1 that was previously deleted/removed is at leastpartially replaced with a corresponding part the second 3D virtual modelVM2. In particular, the second virtual model VM2 is manipulated in thecomputer system 32 to register the second virtual model VM2 onto themodified first virtual model VM1′. In this connection, the identifyingsurface data ID of second virtual model VM2 may be useful as it may bealigned with corresponding parts of the modified first virtual modelVM1′, since the surface data for part P2 of the real physical dentalsurface should be nominally identical in both scans. In this alignedposition, part DVM2 of the second virtual model VM2 fits in andcorresponds to at least a portion of the deleted portion DVM1, and partDVM2 is then stitched to modified first virtual model VM1′ in a virtualmanner to create a further modified first virtual model, i.e., compositethird 3D virtual model VM3. The remainder of the second virtual modelVM2, including the identifying surface data ID may then be discarded.

Alternatively, it may not be necessary that second part RM2 at leastpartially overlaps with the physical part RM1, and instead the 3D datadefining each respective virtual model can be referred to the sameglobal coordinate system in a different manner, for example via anoptical marker whose 3D coordinates are known with respect to a globalcoordinate system, and which is scanned together with each one of secondpart RM2 and physical part RM1.

Thus, the composite third 3D virtual model VM3 replaces the undesiredpart DVM1 of the original virtual model VM1 with new 3D data provided bypart DVM2.

It is readily evident that by carrying out steps 430 to 460, the useronly needs to “correct” or modify parts of the original virtual modelVM1 of the dental surface i.e. of physical part RM1, and does not needto obtain a new virtual model of the whole of physical part RM1 fromscratch, should even a small part of the virtual model VM1 not beacceptable.

In alternative variations of this embodiment, steps 430 to 460 may beimplemented in a different manner. For example, and referring to FIG. 9,steps 430 to 460 may be replaced with steps 430′ to 460′ of modifiedmethod 400′, which can include steps 410′, 420′ and 470′ which arerespectively identical to steps 410, 420, 470 of method 400 as disclosedherein, mutatis mutandis.

Step 430′ comprises all the elements and features of step 450 asdisclosed herein, mutatis mutandis, with the main difference that step430′ is implemented immediately following step 420′. In other words, andhaving carried out steps 410′ and 420′, the second virtual model VM2 iscreated, representing a second part RM2 of the physical dentalstructure. Again, the second virtual model VM2 comprises a virtual partDVM2 that represents the part DRM1 of the physical dental surface, plusadditional identifying surface data ID that represents a part P2 of thereal dental surface in proximity to part DRM1, and thus second part RM2at least partially overlaps with the physical part RM1. Before doing so,the part DRM1 of the physical dental surface is cleaned up and/orunobstructed, and for example rescanned to obtain second virtual modelVM2. The scanning procedure thus also includes scanning the additionalpart P2 the real dental surface surrounding the part DRM1 to obtainadditional identifying 3D surface data ID.

Then, in step 440′, second virtual model VM2 is virtually registeredwith the first virtual model VM1. In particular, the second virtualmodel VM2 is manipulated in the computer system 32 to register thesecond virtual model VM2 onto the first virtual model VM1. In thisconnection, the identifying surface data ID of second virtual model VM2may be useful as it may be aligned with corresponding parts of the firstvirtual model VM1, since the surface data for part P2 of the realphysical dental surface should be nominally identical in both scans. Inthis aligned position, part DVM2 of the second virtual model VM2,corresponds to, in particular spatially corresponds to, and is differentfrom, in particular is topographically different from, at least aportion of the portion DVM1 of the first virtual model VM1 (as is thecase also in steps 430 to 460 of method 400, mutatis mutandis). At thispoint, portion DVM1 has not yet been deleted, removed or identified.

In step 440′, the second virtual model VM2 is also displayed (andoptionally magnified and/or manipulated) in display 33 as a seconddisplay image D12 corresponding to the second virtual model VM2, whereindisplay image D12 is similar to first display image DI1 as disclosedherein, mutatis mutandis, but corresponds to the second virtual modelVM2 rather than the first virtual model VM1. For example when using a 2Ddisplay, the second display image DI2 is also a two-dimensional image,but in 3D displays the second display image DI2 can be a 3D image aswell, or in 2D stereoscopic displays the second display image DI2 can bea 2D stereoscopic image as well for example.

Both the second virtual model VM2 and the first virtual model VM1 areviewable on the display 33 via their respective images DI2 and DI1,either together in registry, or may be selectively viewed separately, indifferent display windows on the same display 33, for example, oralternately on the same display, or in different displays, and so on. Tofacilitate viewing the images in 3D registry, the images DI2 and DI1 maybe visually encoded, each in a different manner. For example, the imagesDI2 and DI1 may be encoded each in a different color or shade of gray.Alternatively, at least parts of the images DI2 and DI1 which do notexactly correspond to one another may be color encoded in this manner tohighlight the corresponding topographical differences between the realfirst part RM1 and the real second part RM2 of the physical dentalstructure.

In step 450′, part DVM1 of the first virtual model VM1 is marked by theuser on the first image of the first virtual model VM1 on the display33, this part DVM1 having first been visually identified by the userfrom the images DI1 and D12 displayed in step 440′. Thus, step 450′ issimilar to step 430 as disclosed herein, mutatis mutandis, and thus by“marked” it is meant that the user may optionally interact with thisarea of the first image DI1 in the display 33 so that a visual mark isincluded in the image to show and demarcate this area on the image DI1that is on the display 33. For example, wand 34, operatively connectedto the computer system 32 can be used for interacting with the display33, wherein a visual mark is displayed wherever the tip 39 of the wand34 touches the image DI1 on the display 33.

Step 460′ is similar to step 440 as disclosed herein, mutatis mutandis,and thus part DVM1 of the first virtual model VM1 is then “deleted” orotherwise removed or replaced interactively on the display 33 by theuser, resulting in the first virtual model VM1 being modified to becomea modified first virtual model VM1′, for example by passing the tip ofthe wand 34 over the marked area of the image DI1, when a special“delete” function (also referred to interchangeably herein as a removefunction, remove command, or deleted command, or replace function, orreplace command) of the computer system 32 is activated, i.e., when acorresponding function (delete function or remove function or replacefunction) is applied to the marked area of the image DI1. Step 460′ inaddition comprises part of step 460 as disclosed herein, mutatismutandis, and, with the second 3D virtual model VM2 already registeredwith respect to the modified first 3D virtual model VM1 (step 440′), thepart DVM1 that was previously deleted/removed is at least partiallyreplaced with a corresponding part of the second 3D virtual model VM2.Alternatively, this function operates as a unified replacement functionin which DVM1 is replaced in one operation with part DVM2.

In the aligned position of the registered modified first virtual modelVM1′ with second virtual model VM2, part DVM2 of the second virtualmodel VM2 virtually fits in and corresponds to at least a portion of thedeleted portion DVM1, and part DVM2 is then stitched to modified firstvirtual model VM1′ in a virtual manner to create a further modifiedfirst virtual model, i.e., composite third 3D virtual model VM3. Theremainder of the second virtual model VM2, including the identifyingsurface data ID may then be discarded.

Thus, in step 470′, a composite third 3D virtual model VM3 (comprisingmodified first virtual model VM1′ part DVM2) effectively replaces theundesired part DVM1 of the original virtual model VM1 with new 3D dataprovided by part DVM2.

It is to be noted that at least in some alternative variations of themethod 400′, step 420′ and/or step 440′ can be omitted. For example, theuser can scan the first physical part of the structure in step 410′ andthen without displaying the respective first 3D virtual model, proceedwith scanning the second part of the physical structure in step 430′ toprovide the second 3D virtual model, also without displaying therespective second 3D virtual model. Thus, so long as the first 3Dvirtual model and the second 3D virtual model can be spatiallyregistered (and thus the first physical part corresponds to (inparticular spatially corresponds to) but may be different from (inparticular topographically different from) the second physical part),step 460′ can be implemented automatically and the first 3D virtualmodel replaces parts thereof with the second 3D virtual model, withoutthe need to have these parts or the first 3D virtual model or the second3D virtual model displayed, identified or marked. Such a situation mayarise, for example, where the user suspects or knows (for example duringor after scanning to provide the first 3D virtual model) that someportions of the scanned first part of the physical structure were forexample obscured, ill-defined, badly scanned, and so on and need to berescanned. The user can then go back to these portions of the physicalstructure and rescan those portions to provide the second 3D virtualmodel which then automatically replaces corresponding parts of the first3D virtual model.

In a similar manner, mutatis mutandis, in at least in some alternativevariations of the method 400, step 420 can be omitted, and steps 440 and460 can be modified so that the interaction with the display is omitted,and the first 3D virtual model replaces parts thereof with the second 3Dvirtual model automatically via registration therewith, rather thanimplementing a delete function first, and a stitching function later.

Referring to FIG. 7, a second embodiment of the invention has all theelements, features and steps of the first embodiment including steps 410to 470 or alternative variations thereof, for example steps 410′ to470′, mutatis mutandis, the main difference being that in the secondembodiment the physical part RM1 of the intra-oral cavity includes aremovable physical artifact which may be temporarily obscuring part ofthe dental surfaces.

For example, the artifact may be a scanning body or impression abutment600 (or any other structure) that is mounted onto a dental implant andprojects into the intra oral cavity so that the spatial orientationand/or other characteristics of the implant 620 (which is alreadyanchored in the jaw 630 and thus cannot be seen) with respect to thedental surfaces may be derived from the position/orientation of theartifact 600.

The first virtual model VM1 for this embodiment thus also includes avirtual representation of the artifact 600, as well as all the otherdental areas of interest of the physical part RM1, but the presence ofthe artifact 600 may render it difficult or impossible to obtain at thesame time a full scan of the physical part RM1, as the artifact 600 maybe too close in parts to the dental surfaces (e.g. adjacent teeth 640,650) and thus obscures or blocks the ability of a scanner to scan suchareas.

In this embodiment, and in applying method 400 to this embodiment, insteps 420 and 430, each part of the virtual model corresponding to anobscured area (and possibly also corresponding to the artifact 600) isdeleted interactively in a similar manner that disclosed above for thefirst embodiment, mutatis mutandis, to provide the correspondingmodified first virtual model VM1′.

Then, and prior to step 440, the artifact 600, which is considered the“first physical portion” in step 440, is physically removed from theintraoral cavity and an area of the physical part RM1 including thepreviously obscured areas that were not fully defined previously in thefirst virtual model VM1 is scanned, in the absence of the artifact,enabling full definition of this area to be achieved in thecorresponding second virtual model VM2 thereby generated.

Thereafter, in step 460, second virtual model VM2 is registered with themodified first virtual model VM1′, in a manner similar to that disclosedabove for the first embodiment, mutatis mutandis, to provide thecorresponding the corresponding composite third virtual model VM3.

If necessary or desired, the artifact 600 itself (or part thereof) mayalso be scanned separately to obtain a virtual model thereof. This maybe used to further modify the composite third virtual model, if forexample part of the artifact was deleted in step 440.

Method 400′ may be applied m a corresponding manner to the secondembodiment, mutatis mutandis.

It is readily evident that by carrying out this embodiment of theinvention, it allows obtaining a virtual model of the intra oral cavityincluding such an artifact, wherein even the parts of the dentalsurfaces obscured by the artifact can be fully defined with respectthereto, even when originally obscured by the artifact.

Referring to FIG. 8, a third embodiment of the invention has all theelements, features and steps of the first embodiment including steps 410to 470 or alternative variations thereof, for example steps 410′ to470′, mutatis mutandis, the main difference being that the physical partRM1 in the third embodiment is considered to be well defined in thefirst virtual model VM1, i.e., faithfully represents the surfaces ofinterest of the physical part RM1; however, a first physical portion ofthe physical part RM1 is not considered suitable for a dental procedure.

For example, the physical part RM1 may be a dental preparation 700 for adental prosthesis (e.g. a crown), and analysis of the first dental modelwith respect to a virtual model of the opposing dentition of theopposite jaw reveals that the form of the preparation would result in aninadequate structure for the prosthesis. For example, the dentalpreparation is too long and/or too thick, and would result in thethickness of the crown at the cusp being too thin, and thus mechanicallyweak.

In this connection, the distances between the preparation 700 and theopposed dental surfaces may be determined, for example, in a manner asdisclosed in U.S. Pat. No. 6,334,853, the contents of which areincorporated herein in their entirety, which in turn can provide ameasure of the corresponding thickness of the respective dentalprosthesis. In at least one embodiment disclosed in U.S. Pat. No.6,334,853, there is provided a method for obtaining a dental occlusionmap of a three-dimensional virtual computer model of teeth of upper andlower jaws of a mouth, said occlusion map indicative of distancesbetween opposite regions on facing surfaces of opposite teeth of theupper and lower jaws of the mouth, said method comprising the steps of:

-   -   (i) determining said distances between opposite regions on        opposite teeth of the upper and lower jaws of the mouth; and    -   (ii) setting up a correspondence between said determined        distances and regions on a mapping surface.

The part of the first 3D virtual model that corresponds to theunsuitable portion of the dental preparation 700 is then deleted orremoved or replaced in steps 430 and 440 in applying method 400 to thisembodiment, in a manner similar to that disclosed above for the firstembodiment, mutatis mutandis.

The real dental preparation 700 is also physically modified by thedental practitioner in the areas found to be unsuitable for theprosthesis, for example via a material removal operation such as byusing dental drills or dental lasers, for example, to provide a modifiedphysical preparation 700′.

Thereafter, in step 450, a second virtual model VM2 corresponding to themodified preparation 700′ is obtained, for example by scanning the newlyworked area of the modified preparation 700′, but also includingadditional part 750 of the preparation that was not altered in thematerial removal; process.

In step 460, second virtual model VM2 is registered with the modifiedfirst virtual model VM1′, in a manner similar to that disclosed abovefor the first embodiment, mutatis mutandis, to provide the correspondingthe corresponding composite third virtual model VM3.

A new cycle of checking and modifying the preparation can be initiatedif desired or necessary, wherein the third virtual model previouslygenerated can be considered to be a “first virtual model” for the newcycle, and checked as in step 420, mutatis mutandis, and if necessary,steps 430 to 460 repeated as often as required, each time providing anew third virtual model than can be considered, if desired as a newfirst virtual model, until the newly modified third virtual model has ageometry for the dental preparation (corresponding to the geometry ofthe real dental preparation) that is adequate for receiving aprosthesis, according to criteria.

It is also readily evident that rather than modifying the wholepreparation, only part of the preparation, for example a part of thefinish line, can be modified instead, and the method applied to thispart only, saving considerable time by not having to scan the remainderof the preparation (that is considered acceptable) or surrounding areas,i.e., the whole physical part RM1 again each time.

Method 400′ may be applied in a corresponding manner to the thirdembodiment, mutatis mutandis.

It is also readily evident that by carrying out this embodiment of theinvention, it allows the dental practitioner to modify a dentalstructure such as dental preparation in a quick and easy manner with aminimum of scanning after the initial virtual scan. i.e., without theneed to rescan the whole physical part RM1 again each time.

It also readily evident that parts or all of the method steps accordingto each of the first, second and third embodiments and/or alternativevariations thereof may be applied to one or more of the otherembodiments as well.

It is also readily evident that the method (and corresponding system)according to each of the first, second and third embodiments and/oralternative variations thereof may further comprise a manufacturingstep, in which a dental object may be manufactured based on therespective composite third 3D virtual model VM3 under computer aidedmanufacture (CAM). Such a dental object may be manufactured, forexample, based on a material removal operation that is performed by acomputer aided removal operation machine having a suitable machiningtool, using any suitable CAM (Computer Aided Manufacturing) technology,typically a CNC milling machine, on a blank of material. This materialis typically plaster or any other type of material commonly used fordental models, however any other suitable material may be used.Alternatively, other CAM-based techniques may be used, for example rapidprototyping or any other suitable 3D printing technique, for creatingthe dental object. Accordingly, a dental object corresponding tocomposite third 3D virtual model VM3 or associated with the compositethird 3D virtual model VM3 can be manufactured.

For example, the dental object may comprise a physical model of theintraoral cavity, and thus composite third 3D virtual model VM3 can beused directly to provide the necessary data for the CAM process.

In another example, and where the composite third 3D virtual model VM3is based on one or more teeth requiring a prosthesis, and thus comprisea suitable preparation. A dental object in the form of the respectiveprosthesis may be prepared based on information from the composite third3D virtual model VM3. The dentist or a technician may generate a 3Dvirtual prosthesis model of a crown to be fitted on a tooth stump (or ofa bridge to be fitted on the tooth surface, or of any other prosthesisto be fitted to the tooth/teeth including any restoration and/or anyonlays, and/or any inlays, such as caps, for example, or veneering, orany other artificial partial or complete denture), to generate a digitalfile. Alternatively, the outer surface of the prosthesis may be designedmanually if desired. The prosthesis may then be manufactured using anysuitable CAM techniques, for example as disclosed above, mutatismutandis, and in a further step, the prosthesis may be installed in theoral cavity of the patient. Optionally, the virtual prosthesis model mayalso include a virtual model of a coping plus a virtual model of a capthat is to be mounted onto the coping. The coping may be manufacturedusing any suitable method, for example as disclosed in WO 2004/087000,also assigned to the present Assignee, and the contents of which areincorporated herein in their entirety. The cap or full prosthesis may bemanufactured using any suitable method, for example as disclosed in U.S.Ser. No. 11/046,709 or in U.S. Provisional Application No. 60/632,350,also assigned to the present Assignee, and the contents of which areincorporated herein in their entirety.

In another example, and where the composite third 3D virtual model VM3is based on one or more teeth requiring an orthodontic treatment, a setof aligners may be manufactured based on the composite third 3D virtualmodel VM3. For example, the teeth shown in the 3D virtual model, whichnormally would be of a patient's teeth in their initial positions, canbe segmented (i.e. digitally cut into separate objects). The resultantdigital data can then be used for orthodontic treatment planning. Theindividual teeth can be moved by a computer program and/or by anoperator into a desired final setup. Then a number of digitalintermediate tooth arrangements can be generated. These digitalintermediate and final tooth arrangements of the treatment plan can beused to fabricate positive molds of intermediate arrangements (such asby using rapid proto typing equipment or milling machines) which areused to form aligners for moving teeth or they can be used to directlyform aligners.

Alternatively, where the composite third 3D virtual model VM3 is basedon one or more teeth requiring an orthodontic treatment, dental objectsin the form of a set of orthodontic appliances, for example brackets,may be virtually designed and/or manufactured (for example usingsuitable CAM-based techniques) based on the composite third 3D virtualmodel VM3.

Furthermore, where the composite third 3D virtual model VM3 is based onone or more teeth requiring an orthodontic treatment, such anorthodontic treatment may be designed using a computer system based onthird 3D virtual model VM3. For example such an orthodontic treatmentmay be provided by implementing a method for virtual orthodontictreatment, for example as disclosed in U.S. Pat. No. 6,739,869, alsoassigned to the present Assignee, and the contents of which areincorporated herein in their entirety, and at least one embodiment ofsuch a method for virtual orthodontic treatment comprises:

-   -   (a) providing a first virtual three-dimensional (3D) image        indicative of a 3D model of all teeth of at least one jaw, the        model being manipulable so as to allow its viewing from a        desired direction—for example such a first virtual        three-dimensional (3D) image may be based on the composite third        3D virtual model VM3;    -   (b) selecting a virtual set of orthodontic components,        comprising (i) brackets, one for each tooth in said first image,        for attachment to teeth of said image, each of said brackets        having a slot for engaging an arch wire, and (ii) one or two        arch wires, one for each jaw of said first image;    -   (c) associating the brackets with the teeth of said first image        so as to obtain a second image of said virtual 3D model with the        brackets associated with the teeth of the model, one bracket on        each teeth in said model; and    -   (d) using a set of rules including a rule that requires each        slot to engage the wire, computing the manner of movement of        each tooth with the bracket associated therewith, so as to        obtain a third image comprising the teeth model following the        virtual treatment.

It is also readily evident that the method (and corresponding system)according to at least one embodiment of the present invention may beapplied to obtaining a 3D virtual model of any physical structure,including non-dental structures, and in which it may be desired ornecessary to re-scan a part of the structure, without the need to rescanthe whole structure again to obtain an updated 3D virtual model of thephysical structure. Such method (and corresponding system) mayoptionally be further used for manufacturing a physical object based onor associated with the updated 3D virtual model of the physicalstructure.

For example, the method (and corresponding system) according to at leastone embodiment of the invention may be applied to scanning a complexcircuit board comprising a plurality of chips mounted thereon, replacingone such ship and scanning the new chip in situ, and modifying theoriginal 3D virtual model to replace the part thereof corresponding tothe old chip with the 3D data corresponding to the new chip.

In another example, the method (and corresponding system) according toat least one embodiment of the invention may be applied to scanning acomplex geometrical physical structure comprising a plurality ofgeometrical entities mounted or formed thereon, adding or removing ageometrical physical entity with respect to the structure, and scanningthe modified physical structure in the area that includes the newgeometrical entity or that includes the modification of the physicalstructure arising from the removal of the geometrical entity,respectively, and modifying the original 3D virtual model to replace acorresponding part thereof with the 3D data corresponding to theaforesaid scanned area.

In the method claims that follow, alphanumeric characters and Romannumerals used to designate claim steps are provided for convenience onlyand do not imply any particular order of performing the steps.

Finally, it should be noted that the word “comprising” as usedthroughout the appended claims is to be interpreted to mean “includingbut not limited to”.

While there has been shown and disclosed some embodiments in accordancewith the invention, it will be appreciated that many changes may be madetherein without departing from the spirit of the invention.

What is claimed is:
 1. A method for accounting for changes in surfacetopology when scanning a patient's teeth for a dental procedure, themethod comprising: receiving first scan data of a first surface portionand a second surface portion of the patient's intraoral cavity from ahand-held intraoral scanner, the first surface portion having a firstsurface topology, the first scan data associated with a first pluralityof captured images of the patient's intraoral cavity; displaying, to adisplay, a first model of the patient's intraoral cavity, wherein thefirst model of the patient's intraoral cavity is based on the receivedfirst scan data of the patient's teeth and comprises surface datarepresentative of the first surface portion and the second surfaceportion; receiving user input, via the displayed first model,demarcating the surface data representative of the first surface portionand the surface data representative of the second surface portion;receiving second scan data of the patient's intraoral cavity from thehand-held intraoral scanner, the second scan data including surface dataof the first surface portion and the second portion, the second scandata associated with a second plurality of captured images of thepatient's intraoral cavity; updating the first model by modifying onlyat least a portion of the surface data representative of the firstsurface portion according to the user input using at least a portion ofthe second scan data of the patient's intraoral cavity including thefirst surface portion; and outputting, to the display, the updated firstmodel of the patient's teeth with the at least the portion of thesurface data updated using the received second scan data.
 2. The methodof claim 1 wherein the first surface topology comprises an obscuringmaterial.
 3. The method of claim 2, wherein the obscuring material issaliva, blood, gums, cheek, tongue, dental instruments, or debris. 4.The method of claim 1, wherein the first surface topology comprises thefirst surface portion having a first physical shape and the second scandata comprises data of the first surface portion having a secondphysical shape.
 5. The method of claim 1, further comprising marking anarea on the displayed first model associated with the received userinput.
 6. The method of claim 1, wherein the updating further comprisesregistering the second scan data with the first model by aligningidentifying data of the second scan data with corresponding parts of thefirst model.
 7. The method of claim 6, wherein the updating furthercomprises stitching the at least the portion of the second scan datawith the first model.
 8. The method of claim 7, wherein the updatingplacing further comprises discarding a remainder of the second scandata, including the identifying surface data, after stitching the atleast the portion of the second scan data with the first model.
 9. Themethod of claim 1, wherein the updating further comprises removing ordeleting at least the surface data representative of the first surfaceportion having the first surface topology according to the user input.10. The method of claim 9, wherein the updating further comprisesregistering the second scan data with the first scan data by aligningidentifying data of the second scan data with corresponding parts of thefirst scan data.
 11. The method of claim 1, wherein the first model isan accurate representation of the first surface portion and the secondsurface portion.
 12. A system for accounting for changes in surfacetopology when scanning a patient's teeth for a dental procedure, thesystem comprising: a hand-held intraoral scanner; and a computerreadable medium including instructions that when executed by a computersystem, causes the computer system to: receive first scan data of afirst surface portion and a second surface portion of the patient'sintraoral cavity from the hand-held intraoral scanner, the first surfaceportion having a first surface topology, the first scan data associatedwith a first plurality of captured images of the patient's intraoralcavity; display a first model of the patient's intraoral cavity, whereinthe first model of the patient's intraoral cavity is based on thereceived first scan data of the patient's teeth and comprises surfacedata representative of the first surface portion and the second surfaceportion; receive user input, via the displayed first model, demarcatingthe surface data representative of the first surface portion and thesurface data representative of the second surface portion; receivesecond scan data of the patient's intraoral cavity from the hand-heldintraoral scanner, the second scan data including surface data of thefirst surface portion, the second scan data associated with a secondplurality of captured images of the patient's intraoral cavity; updatethe first model by modifying only at least a portion of the surface datarepresentative of the first surface portion according to the user inputusing at least a portion of the second scan data of the patient'sintraoral cavity including the first surface portion; and output theupdated first model of the patient's teeth with the at least the portionof the surface data updated using the received second scan data.
 13. Thesystem of claim 12, wherein the first surface topology comprises anobscuring material.
 14. The system of claim 13, wherein the obscuringmaterial is saliva, blood, gums, cheek, tongue, dental instruments, ordebris.
 15. The system of claim 12, wherein the first surface topologycomprises the first surface portion having a first physical shape andthe second scan data comprises data of the first surface portion havinga second physical shape.
 16. The system of claim 12, further comprisinginstructions for marking an area on the displayed first model associatedwith the received user input.
 17. The system of claim 12, wherein theinstructions that when executed by a computer system, causes thecomputer system to update the at least the surface data representativeof the first surface portion further causes the system to register thesecond scan data with the first model by aligning identifying data ofthe second scan data with corresponding parts of the first model. 18.The system of claim 17, wherein the instructions that when executed by acomputer system, causes the computer system to update at least thesurface data representative of the first surface portion further causethe system to stitch the at least the portion of the second scan datawith the first model.
 19. The system of claim 18, wherein theinstructions that when executed by a computer system, causes thecomputer system to update at least the surface data representative ofthe first surface portion further causes the system to discard aremainder of the second scan data, including the identifying surfacedata, after stitching the at least the portion of the second scan datawith the first model.
 20. The system of claim 12, wherein theinstructions that when executed by a computer system, causes thecomputer system to update at least the surface data representative ofthe first surface portion further causes the system to remove or deleteat least the surface data representative of the first surface portionhaving the first surface topology according to the user input.
 21. Thesystem of claim 20, wherein the instructions that when executed by acomputer system, causes the computer system to update at least thesurface data representative of the first surface portion further causesthe system to register the second scan data with the first scan data byaligning identifying data of the second scan data with correspondingparts of the first scan data.
 22. The system of claim 12, wherein thefirst model is an accurate representation the first surface portion andthe second surface portion.
 23. A system for accounting for changes insurface topology when intraorally scanning a patient's teeth for adental procedure, the system comprising: a hand-held intraoral scanner;and a computer readable medium including instructions that when executedby a computer system, cause the computer system to: receive first scandata of a first surface portion and a second surface portion of thepatient's intraoral cavity from the hand-held intraoral scanner, thefirst surface portion having a first surface topology, the first scandata associated with a first plurality of captured images of thepatient's intraoral cavity; display, to a display, a first model of thepatient's intraoral cavity, wherein the first model of the patient'sintraoral cavity is based on the received first scan data of thepatient's intraoral cavity and comprises surface data representative ofthe first surface portion and the second surface portion; receive userinput defining the surface data representative of the first surfaceportion having the surface data representative of the first surfacetopology; receive second scan data of the patient's teeth from thehand-held intraoral scanner, the second scan data comprising the firstsurface portion being associated with a second plurality of capturedimages of the patient's intraoral cavity; register the second scan datawith the first model by aligning identifying data of the second scandata with corresponding parts of the first model; update the first modelby modifying only at least a portion of the first surface portion havingthe first surface topology of the first model using at least a portionof the received second scan data of the patient's teeth including thefirst surface portion by removing at least the surface datarepresentative of the first surface portion having the first surfacetopology and replacing at least a portion of the removed surface portionusing at least a portion of the received second scan data of thepatient's teeth; discarding a remainder of the second scan data,including the identifying data, after registering the second scan datawith the first model; and display, to the display, the updated firstmodel of the patient's teeth with the portion of the first surfaceportion having a first surface topology updated using the first surfaceportion of the second scan data.
 24. The system of claim 23, wherein thehand-held intraoral scanner comprises a probing member with a sensingface, an illumination unit, a light focusing optics defining one or morefocal planes forward the sensing face, and a translation mechanism fordisplacing the one or more focal planes relative to the sensing face.25. The system of claim 24, wherein the system further comprises thecomputer system and the display; wherein the system further comprises amouse or wherein the display comprises a touch screen display; andwherein the user input defining portion of the first model to be removedis received by the mouse or the touch screen display.
 26. The system ofclaim 23, wherein the first surface topology comprises an obscuringmaterial.
 27. The system of claim 26, wherein the obscuring material issaliva, blood, gums, cheek, tongue, dental instruments, or debris. 28.The system of claim 27, wherein the first surface topology comprises thefirst surface portion having a first physical shape and the second scandata comprises the first surface portion having a second physical shape.29. The system of claim 23, wherein the first model is an accuraterepresentation the first surface portion and the second surface portion.